<!DOCTYPE html>

<html>
    <head>
        <title>Dados Complementares</title>
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    </head>
    <body>
       <div class="container">
           <?php include "topo.html"; ?>
           <?php include "menu.php"; ?>
           
           <!------------------------------------------Inicio do Conteudo------------------------------------->
		<section>
			<div id="conteudo">
				<div class="row-fluid">
					<div class="span12">
						<div class="titulo">
                                                    <p><b>Cadastrar Dados Complementares</b></p>
						</div>
						<div class="bordas">
                                                    <div>
                                                        <div><p class="alert alert-info">Os Campos com * são Obrigatório</p></div>
                                                        <form class="form-horizontal dados" method="POST" action="index.php?pg=InserirDadosUsuario">
                                                    <fieldset>
                                                                                                      
                                                    <!-- Hidden input-->
                                                    <div class="control-group">
                                                      <div class="controls">
                                                          <input id="idusuario" name="idusuario" value="<?php echo $idUsuario; ?>" placeholder="" class="input-large" type="hidden">

                                                      </div>
                                                    </div>

                                                    <!-- Multiple Checkboxes -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="documentos">Documentos</label>
                                                      <div class="controls">
                                                        <label class="checkbox" for="documentos-0">
                                                          <input name="documentos[0]" id="documentos-0" value="1" type="checkbox">
                                                          Certidão Nascimento
                                                        </label>
                                                        <label class="checkbox" for="documentos-1">
                                                          <input name="documentos[1]" id="documentos-1" value="1" type="checkbox">
                                                          RG/CPF
                                                        </label>
                                                        <label class="checkbox" for="documentos-2">
                                                          <input name="documentos[2]" id="documentos-2" value="1" type="checkbox">
                                                          Comprovante de Residência
                                                        </label>
                                                      </div>
                                                    </div>

                                                    <!-- Multiple Checkboxes -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="beneficios">Benefícios</label>
                                                      <div class="controls">
                                                        <label class="checkbox" for="beneficios-0">
                                                          <input name="beneficios[0]" id="beneficios-0" value="1" type="checkbox">
                                                          LOAS
                                                        </label>
                                                        <label class="checkbox" for="beneficios-1">
                                                          <input name="beneficios[1]" id="beneficios-1" value="1" type="checkbox">
                                                          Pensão
                                                        </label>
                                                        <label class="checkbox" for="beneficios-2">
                                                          <input name="beneficios[2]" id="beneficios-2" value="1" type="checkbox">
                                                          Bolsa Familia
                                                        </label>
                                                      </div>
                                                    </div>

                                                    <!-- Text input-->
                                                    <div class="control-group">
                                                      <label class="control-label" for="outro">Outros, qual?</label>
                                                      <div class="controls">
                                                        <input id="outro" name="outro" placeholder="" class="input-xlarge" type="text">

                                                      </div>
                                                    </div>

                                                    <!-- Multiple Checkboxes -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="transporte">Carteira de Transporte</label>
                                                      <div class="controls">
                                                        <label class="checkbox" for="transporte-0">
                                                          <input name="transporte[0]" id="transporte-0" value="1" type="checkbox">
                                                          Municipal
                                                        </label>
                                                        <label class="checkbox" for="transporte-1">
                                                          <input name="transporte[1]" id="transporte-1" value="1" type="checkbox">
                                                          Interestadual
                                                        </label>
                                                      </div>
                                                    </div>

                                                    <!-- Multiple Radios -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="vacina">Carteira de Vacina *</label>
                                                      <div class="controls">
                                                        <label class="radio" for="vacina-0">
                                                          <input name="vacina" id="vacina-0" value="1" type="radio">
                                                          Completa
                                                        </label>
                                                        <label class="radio" for="vacina-1">
                                                          <input name="vacina" id="vacina-1" value="0" type="radio">
                                                          Incompleta
                                                        </label>
                                                        </div>
                                                    </div>

                                                    <!-- Select Basic -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="tiposanguineo">Tipo Sanguineo *</label>
                                                      <div class="controls">
                                                        <select id="tiposanguineo" name="tiposanguineo" class="input-small">
                                                          <option value="">Selecione</option>
                                                          <option value="A+">A+</option>
                                                          <option value="A-">A-</option>
                                                          <option value="B+">B+</option>
                                                          <option value="B-">B-</option>
                                                          <option value="AB+">AB+</option>
                                                          <option value="AB-">AB-</option>
                                                          <option value="O+">O+</option>
                                                          <option value="O-">O-</option>
                                                        </select>
                                                      </div>
                                                    </div>
                                                    
                                                    <!-- Select Basic -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="pessoas">Número de pessoas na familia *</label>
                                                      <div class="controls">
                                                        <select id="pessoas" name="pessoas" class="input-small">
                                                          <option value="">Selecione</option>
                                                          <option value="1">1</option>
                                                          <option value="2">2</option>
                                                          <option value="3">3</option>
                                                          <option value="4">4</option>
                                                          <option value="5">5</option>
                                                          <option value="6">6</option>
                                                          <option value="7">7</option>
                                                          <option value="8">8</option>
                                                          <option value="9">9</option>
                                                          <option value="10">10</option>
                                                          <option value="11">Mais de 10</option>
                                                        </select>
                                                      </div>
                                                    </div>
                                                    
                                                    <!-- Multiple Radios -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="salario">Salario da Familia *</label>
                                                      <div class="controls">
                                                        <label class="radio" for="salario-0">
                                                        <input name="salario" id="salario-0" value="1" type="radio">
                                                          Até 1 Sálario
                                                        </label>
                                                        <label class="radio" for="salario-1">
                                                          <input name="salario" id="salario-1" value="2" type="radio">
                                                          Até 2 Sálarios
                                                        </label>
                                                        <label class="radio" for="salario-2">
                                                          <input name="salario" id="salario-2" value="3" type="radio">
                                                          Até 3 Sálarios
                                                        </label>
                                                           <label class="radio" for="salario-3">
                                                          <input name="salario" id="salario-3" value="4" type="radio">
                                                          Acima de 3 Sálarios
                                                        </label>    
                                                        
                                                      </div>
                                                    </div>
                                                    
                                                    <!-- Textarea -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="restricao">Restrições</label>
                                                      <div class="controls">                     
                                                        <textarea id="restricao" name="restricao"></textarea>
                                                      </div>
                                                    </div>

                                                    <!-- Textarea -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="medicacao">Medicação</label>
                                                      <div class="controls">                     
                                                        <textarea id="medicacao" name="medicacao"></textarea>
                                                      </div>
                                                    </div>

                                                    <!-- Textarea -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="hipotese">Hipótese Diagnostica</label>
                                                      <div class="controls">                     
                                                        <textarea id="hipotese" name="hipotese"></textarea>
                                                      </div>
                                                    </div>

                                                    <!-- Multiple Radios -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="dignosticofechado">Dignostico Fechado *</label>
                                                      <div class="controls">
                                                        <label class="radio" for="dignosticofechado-0">
                                                          <input name="dignosticofechado" id="dignosticofechado-0" value="1" type="radio">
                                                          Sim
                                                        </label>
                                                        <label class="radio" for="dignosticofechado-1">
                                                          <input name="dignosticofechado" id="dignosticofechado-1" value="0" type="radio">
                                                          Não
                                                        </label>
                                                      </div>
                                                    </div>
                                                    
                                                    <!-- Hidden input-->
                                                    <div class="control-group">
                                                      <div class="controls">
                                                          <input id="idfuncionario" name="idfuncionario" value="<?php echo $_SESSION['idFun']?>" placeholder="" class="input-large"  type="hidden">

                                                      </div>
                                                    </div>
                                                    
                                                    <!-- Hidden input-->
                                                    <div class="control-group">
                                                      <div class="controls">
                                                          <input id="dataatualizacao" name="dataatualizacao" value="<?php echo $time; ?>" placeholder="" class="input-large" type="hidden">

                                                      </div>
                                                    </div>

                                                    <!-- Button -->
                                                    <div class="control-group">
                                                      <label class="control-label" for="salvar"></label>
                                                      <div class="controls">
                                                        <button id="salvar" name="salvar" class="btn btn-primary">Salvar</button>
                                                      </div>
                                                    </div>

                                                    </fieldset>
                                                    </form>							
                                                    </div>
						</div>
					</div>	
				</div>
			</div> <!-- Fim da linha conteudo -->
		</section><!-- ----------------------------------------fim do Conteudo----------------------------------- -->

           
           <?php include "rodape.html"; ?>
           
           
       </div><!-- fim da div container -->    
        
        
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